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KMID : 0931320130130040263
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대한상부위장관.헬리코박터학회지
2013 Volume.13 No. 4 p.263 ~ p.266
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Primary Adenocarcinoma of Duodenum Located in Third Portion Cured by Wedge Resection
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Bang Chang-Seok
Yoon Jai-Hoon
Choi Sang-Hyeon
Eom Jeong-Ho
Lee Yong-Seop
Lee Yun-Hyeong
Han Sang-Hak
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Abstract
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Primary adenocarcinoma of duodenum is an uncommon neoplasm. Besides its rarity, vague symptoms and signs with the lack of physical findings can delay diagnosis and result in poor treatment outcome. Aggressive surgical managements including pan-creaticoduodenectomy was generally recommended for localized cancers despite high operational mortality. However, if early stage cancer is detected, wedge resection can be a therapeutic option. The authors encountered a 2.5×1.5 cm sized subepithelial tumor like mass with spontaneous bleeding and central dimpling located in the third portion of duodenum on esophagogastro-duodenoscopy. After repeated deep biopsy, the patient underwent wedge resection and regional lymph node dissection of the duodenum. Finally, the mass was proven as adenocarcinoma and the patient remains in good condition without recurrence for over 2 years. Due to it’s low incidence and high mortality, meticulous endoscopic examination of duodenum is essential for early diag-nosis and limited operational methods may improve survival and quality of life of patients.
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KEYWORD
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Duodenal neoplasms, Adenocarcinoma, Pancreaticoduodenectomy
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